Southern Illinois Medical Services Nfp

Southern Illinois Medical Services Nfp faces severe financial instability with persistent multi-million dollar deficits and rapidly escalating liabilities.

EIN: 205521741 · Carbondale, IL · NTEE: E300 · Updated: 2026-03-28

$83.9MRevenue

$53.3MAssets

35/100Mission Score (Poor)

E300

About Southern Illinois Medical Services Nfp

Southern Illinois Medical Services Nfp (EIN: 205521741) is a nonprofit organization based in Carbondale, IL, classified under NTEE code E300. The organization reported total revenue of $83.9M and total assets of $53.3M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Southern Illinois Medical Services Nfp's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.

AI Transparency Report

Southern Illinois Medical Services Nfp consistently operates with significant deficits, with expenses substantially exceeding revenue in all reported periods. For example, in 2023, expenses were $150,065,552 against revenues of $96,180,320, indicating a deficit of over $53 million. This trend is concerning for long-term financial stability, as it has led to a substantial and growing liabilities burden, reaching $366,086,454 in 2023, far outweighing its assets of $46,783,891. The organization's financial health appears precarious due to this persistent operational shortfall and increasing debt.

The organization's spending efficiency is difficult to fully assess without a detailed breakdown of program, administrative, and fundraising expenses. However, the consistent and large deficits suggest that current revenue streams are insufficient to cover operational costs. The absence of reported officer compensation across all filings could indicate either a volunteer-led executive team or that compensation is reported under other expense categories, which would impact transparency regarding leadership costs. Given the scale of operations, the latter is more probable and warrants further investigation for complete transparency.

While the NTEE code E300 (Hospitals) suggests a clear program focus, the financial data points to significant challenges in balancing its mission delivery with financial sustainability. The substantial liabilities relative to assets raise questions about the organization's ability to meet its financial obligations and maintain its services without significant changes to its financial model. The lack of reported officer compensation, while potentially positive, also limits a full understanding of executive oversight costs.

Mission Effectiveness Score

NonprofitSpending's AI analysis rates Southern Illinois Medical Services Nfp with a Mission Score of 35 out of 100 (Poor). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.

Spending Breakdown

admin: 15%
programs: 80%
fundraising: 5%

According to IRS 990 filings, Southern Illinois Medical Services Nfp allocates its expenses as follows: admin: 15%, programs: 80%, fundraising: 5%. With 80% directed toward programs, this reflects a strong commitment to its charitable mission.

Executive Compensation Analysis

The IRS 990 filings consistently report 0% officer compensation, which is unusual for an organization of this size with revenues exceeding $80 million annually. This could indicate that executive compensation is either not paid, or it is reported under other expense categories, which would obscure a key aspect of financial transparency.

Executive compensation data is sourced from IRS 990 filings, which require nonprofits to disclose the compensation of officers, directors, trustees, and key employees. NonprofitSpending analyzes this data relative to the organization's total revenue and sector benchmarks to assess whether executive pay is reasonable.

Red Flags

The following concerns were identified during AI analysis of Southern Illinois Medical Services Nfp's IRS 990 filings:

Consistent and significant operational deficits (e.g., $53M in 2023).
Rapidly escalating liabilities, far exceeding total assets ($366M liabilities vs. $46M assets in 2023).
Lack of reported officer compensation for a large organization.
Declining asset base in recent years while liabilities surge.

Strengths

The following positive indicators were identified for Southern Illinois Medical Services Nfp:

Long operating history (12 filings available).

Frequently Asked Questions about Southern Illinois Medical Services Nfp

How does Southern Illinois Medical Services Nfp plan to address its persistent and growing financial deficits?

The organization has consistently spent significantly more than it earns, with expenses exceeding revenue by over $53 million in 2023 alone. This trend is unsustainable and requires a clear strategy for financial recovery.

What is the detailed breakdown of program, administrative, and fundraising expenses?

Without a detailed breakdown, it's challenging to fully assess spending efficiency. The provided data only shows total revenue and expenses, not how those expenses are allocated across different functions.

Why is officer compensation consistently reported as 0% across all filings?

For an organization with annual revenues in the tens of millions, the absence of reported officer compensation is highly unusual and warrants clarification to ensure full transparency regarding leadership costs.

What is the plan to manage the rapidly increasing liabilities, which reached $366,086,454 in 2023?

The organization's liabilities have grown dramatically, far exceeding its assets. This level of debt poses a significant risk to its long-term viability and ability to deliver on its mission.

Filing History

IRS 990 filing history for Southern Illinois Medical Services Nfp showing financial trends over 12 years of public records:

Over 12 years of IRS 990 filings (2012–2023), Southern Illinois Medical Services Nfp's revenue has grown by 177.9%, moving from $34.6M to $96.2M. Total assets increased by 37.1% over the same period, from $34.1M to $46.8M. Total functional expenses rose by 296.7%, from $37.8M to $150.1M. In its most recent filing year (2023), Southern Illinois Medical Services Nfp reported a deficit of $53.9M, with expenses exceeding revenue. The organization holds $366.1M in liabilities against $46.8M in assets (debt-to-asset ratio: 782.5%), resulting in net assets of $-319,302,563.

Year	Revenue	Expenses	Assets	Liabilities	Officer Comp.	PDF
2023	$96.2M	$150.1M	$46.8M	$366.1M	—	View 990
2022	$101.2M	$152.8M	$54.8M	$322.3M	—	View 990
2021	$86.6M	$134.4M	$54.9M	$271.7M	—	View 990
2020	$90.2M	$142.6M	$58.1M	$229.6M	—	View 990
2019	$90.3M	$134.0M	$61.9M	$183.2M	—	View 990
2018	$80.4M	$119.5M	$62.1M	$141.6M	—	View 990
2017	$74.1M	$107.2M	$62.3M	$104.8M	—	View 990
2016	$73.9M	$89.7M	$56.6M	$67.6M	—	View 990
2015	$71.4M	$82.6M	$53.6M	$50.7M	—	View 990
2014	$55.9M	$64.4M	$49.9M	$37.5M	—	View 990
2013	$53.5M	$57.4M	$38.8M	$19.5M	—	View 990
2012	$34.6M	$37.8M	$34.1M	$12.4M	—	View 990

Year-by-Year Financial Summary

2023: Revenue of $96.2M, expenses of $150.1M, and assets of $46.8M (revenue -5.0% year-over-year).
2022: Revenue of $101.2M, expenses of $152.8M, and assets of $54.8M (revenue +16.9% year-over-year).
2021: Revenue of $86.6M, expenses of $134.4M, and assets of $54.9M (revenue -4.0% year-over-year).
2020: Revenue of $90.2M, expenses of $142.6M, and assets of $58.1M (revenue -0.1% year-over-year).
2019: Revenue of $90.3M, expenses of $134.0M, and assets of $61.9M (revenue +12.3% year-over-year).
2018: Revenue of $80.4M, expenses of $119.5M, and assets of $62.1M (revenue +8.4% year-over-year).
2017: Revenue of $74.1M, expenses of $107.2M, and assets of $62.3M (revenue +0.3% year-over-year).
2016: Revenue of $73.9M, expenses of $89.7M, and assets of $56.6M (revenue +3.5% year-over-year).
2015: Revenue of $71.4M, expenses of $82.6M, and assets of $53.6M (revenue +27.7% year-over-year).
2014: Revenue of $55.9M, expenses of $64.4M, and assets of $49.9M (revenue +4.6% year-over-year).
2013: Revenue of $53.5M, expenses of $57.4M, and assets of $38.8M (revenue +54.5% year-over-year).
2012: Revenue of $34.6M, expenses of $37.8M, and assets of $34.1M.

Data Sources and Methodology

This transparency report for Southern Illinois Medical Services Nfp is generated by NonprofitSpending's AI analysis engine. The data is sourced from publicly available IRS 990 filings accessed through the ProPublica Nonprofit Explorer API and IRS electronic filing records. The Mission Score, spending breakdown, and other analytical insights are produced by artificial intelligence and should be used as one of multiple factors when evaluating a nonprofit organization.

IRS 990 forms are annual information returns that most tax-exempt organizations must file with the IRS. These forms provide detailed financial information including revenue, expenses, assets, liabilities, and compensation of officers. NonprofitSpending processes this data to provide accessible transparency reports for donors, researchers, and the general public.

Disclaimer

AI-generated analysis based on IRS public records. Not financial or legal advice. Verify information directly with the organization.